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Digoxin: Dosing, Therapeutic Range and Toxicity Management

…due to the advent of more efficacious agents with wider therapeutic to toxic windows, and its routine use in adult patients is generally discouraged. However…

Long QT (QTc) interval, long QT syndrome (LQTS) & torsades de pointes

…decreases and vice versa. The physiological purpose of this phenomenon is to allow for faster cardiac cycles during tachycardia (e.g during physical exertion). Therefore…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…Palpitations, syncope or cardiac arrest–particularly during physical activity–in a young adult with T wave inversions in V1–V4, or other ECG changes (see…

Physical Activity Prescription for Cardiovascular Prevention

Cardiology Clinical medicine Definition and Clinical Rationale Physical activity comprises bodily movement that increases energy expenditure, including walking, household tasks, active commuting and recreational activities…

Acute severe asthma in adults: quick reference

…pneumothorax and respiratory arrest [1]. The first few minutes 1. Sit the patient up and minimise physical exertion. 2. Attach continuous pulse oximetry and an…

Cardiovascular Prevention in the Very Elderly

…age, while its clinical expression and management become progressively more complex. Older adults, often defined in cardiovascular practice as those older than 75 years, are…

Cardiac Rehabilitation After Myocardial Infarction

…with cardiovascular disease, including those recovering from myocardial infarction. It extends beyond exercise training to incorporate individualized physical activity counselling, risk factor modification, nutritional care…

Resistant Hypertension: Evaluation and Treatment

…affected adults. True, apparent, and pseudo resistant hypertension The term resistant hypertension should be reserved for patients in whom the diagnosis has been carefully confirmed…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…pediatric patients, and young adults with congenital heart disease. Initiation Strategies Because of its ability to significantly prolong the QT interval and cause torsades de…

Foreign body in the ear and nose

…keep still. Sedation is usually better than physical restraint — ketamine provides both immobilisation and less psychological trauma than being held down by three adults. Procedure…

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